Long-Term Effectiveness of the Community-Based Complete Health Improvement Program (CHIP) Lifestyle Intervention: A Cohort Study

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avondale-bepress-to-dspace.facultyNursing
avondale-bepress-to-dspace.licensehttp://creativecommons.org/licenses/by-nc/3.0/
avondale-bepress-to-dspace.peer_review_statusPeer reviewed before publication
avondale-bepress.abstract<p>Objective: To examine the long-term (three or more years) effectiveness of the volunteer-delivered CHIP intervention.</p> <p>Design: Cohort study</p> <p>Setting: Hawera, New Zealand</p> <p>Participants: Of the total cohort of 284 individuals who self-selected to complete the CHIP lifestyle intervention between 2007 and 2009, 106 (37% of the original cohort, mean age = 64.9±7.4 years, range 42-87 years; 35% males, 65% female) returned in 2012 for a complimentary follow-up health assessment (mean follow-up duration = 49.2+10.4 months).</p> <p>Intervention: 30-day lifestyle modification program (diet, physical activity, substance use and stress management) delivered by volunteers in a community setting.</p> <p>Main outcome measures: Changes in body mass index (BMI), systolic and diastolic blood pressure (SBP, DBP), fasting plasma glucose (FPG), total cholesterol (TC), low-density lipoprotein (LDL), high-density lipoprotein (HDL) and triglycerides (TG).</p> <p>Results: After approximately 4 years, participants with elevated biometrics at program entry maintained significantly lowered BMI (-3.2%; 34.8±5.4 versus 33.7±5.3 kg/m<sup>2</sup>, p=0.02), DBP (-9.4%; 89.1±4.1 versus 80.8±12.6 mmHg, p=0.005), TC (-5.5%; 6.1±0.7 versus 5.8±1.0 mmol/L, p=0.04) and TG (-27.5%; 2.4±0.8 versus 1.7±0.7 mmol/L, p=0.002). SBP, HDL, LDL and FPG were not significantly different from baseline. Participants with elevated baseline biometrics who reported being compliant to the lifestyle principles promoted in the intervention (N=71, 67% of follow-up participants) recorded further reductions in BMI (-4.2%; 34.8±4.5 versus 33.4±4.8 kg/m<sup>2</sup>, p=0.02), DBP (-13.3%; 88.3±3.2 versus 77.1±12.1 mmHg, p=0.005) and FPG (-10.4%; 7.0±1.5 versus 6.3±1.3 mmol/L, p=0.02).</p> <p>Conclusions: Individuals who returned for follow-up assessment and entered the CHIP lifestyle intervention with elevated risk factors were able to maintain improvements in most biometrics for more than three years. The results suggest that the community-based CHIP lifestyle intervention can be effective in the longer-term, even when delivered by volunteers.</p>
avondale-bepress.articleid1052
avondale-bepress.authorsLillian Kent
avondale-bepress.authorsDarren Morton
avondale-bepress.authorsTrevor Hurlow
avondale-bepress.authorsPaul Rankin
avondale-bepress.authorsAlthea Hanna
avondale-bepress.authorsHans A Diehl
avondale-bepress.context-key5333779
avondale-bepress.coverpage-urlhttps://research.avondale.edu.au/nh_papers/51
avondale-bepress.document-typearticle
avondale-bepress.field.author_faculty_disciplineNursing
avondale-bepress.field.comments<p><em></em>Used by permission: the author(s).</p>
avondale-bepress.field.custom_citation<p>Kent, L., Morton, D., Hurlow, T., Rankin, P., Hanna, A. & Diehl, H. (2013). Long-term effectiveness of the community-based Complete Health Improvement Program (CHIP) lifestyle intervention: a cohort study. <em>BMJ Open, 3</em>(11), e003751. doi:10.1136/bmjopen-2013-003751</p>
avondale-bepress.field.distribution_licensehttp://creativecommons.org/licenses/by-nc/3.0/
avondale-bepress.field.doihttps://doi.org/10.1136/bmjopen-2013-003751
avondale-bepress.field.embargo_date2014-03-13T00:00:00Z
avondale-bepress.field.field_of_education06 Health
avondale-bepress.field.for111716 Preventive Medicine
avondale-bepress.field.issn2044-6055
avondale-bepress.field.issue_number11
avondale-bepress.field.journalBritish Medical Journal (BMJ) Open
avondale-bepress.field.page_numberse003751
avondale-bepress.field.peer_reviewBefore publication
avondale-bepress.field.publication_date2013-11-20T00:00:00Z
avondale-bepress.field.reportable_itemsC1
avondale-bepress.field.research_centreLifestyle Research Centre
avondale-bepress.field.source_publication<p>This article was originally published as:</p> <p>Kent, L., Morton, D., Hurlow, T., Rankin, P., Hanna, A. & Diehl, H. (2013). Long-term effectiveness of the community-based Complete Health Improvement Program (CHIP) lifestyle intervention: a cohort study. <em>BMJ, 3</em>(11), e003751. doi:10.1136/bmjopen-2013-003751</p> <p>ISSN: 1756-1833</p>
avondale-bepress.field.staff_classificationContract
avondale-bepress.field.volume_number3
avondale-bepress.fulltext-urlhttps://research.avondale.edu.au/cgi/viewcontent.cgi?article=1052&amp;context=nh_papers&amp;unstamped=1
avondale-bepress.keywordschronic disease
avondale-bepress.keywordsvolunteer
avondale-bepress.label51
avondale-bepress.publication-date2013-11-20T00:00:00Z
avondale-bepress.publication-titleNursing and Health Papers and Journal Articles
avondale-bepress.statepublished
avondale-bepress.submission-date2014-03-13T18:56:47Z
avondale-bepress.submission-pathnh_papers/51
avondale-bepress.titleLong-Term Effectiveness of the Community-Based Complete Health Improvement Program (CHIP) Lifestyle Intervention: A Cohort Study
avondale-bepress.typearticle
dc.contributor.authorDiehl, Hans A.
dc.contributor.authorHanna, Althea
dc.contributor.authorRankin, Paul
dc.contributor.authorHurlow, Trevor
dc.contributor.authorMorton, Darren
dc.contributor.authorKent, Lillian
dc.date.accessioned2023-11-01T00:37:45Z
dc.date.available2023-11-01T00:37:45Z
dc.date.issued2013-11-20
dc.date.submitted2014-03-13T18:56:47Z
dc.description.abstract<p>Objective: To examine the long-term (three or more years) effectiveness of the volunteer-delivered CHIP intervention.</p> <p>Design: Cohort study</p> <p>Setting: Hawera, New Zealand</p> <p>Participants: Of the total cohort of 284 individuals who self-selected to complete the CHIP lifestyle intervention between 2007 and 2009, 106 (37% of the original cohort, mean age = 64.9±7.4 years, range 42-87 years; 35% males, 65% female) returned in 2012 for a complimentary follow-up health assessment (mean follow-up duration = 49.2+10.4 months).</p> <p>Intervention: 30-day lifestyle modification program (diet, physical activity, substance use and stress management) delivered by volunteers in a community setting.</p> <p>Main outcome measures: Changes in body mass index (BMI), systolic and diastolic blood pressure (SBP, DBP), fasting plasma glucose (FPG), total cholesterol (TC), low-density lipoprotein (LDL), high-density lipoprotein (HDL) and triglycerides (TG).</p> <p>Results: After approximately 4 years, participants with elevated biometrics at program entry maintained significantly lowered BMI (-3.2%; 34.8±5.4 versus 33.7±5.3 kg/m<sup>2</sup>, p=0.02), DBP (-9.4%; 89.1±4.1 versus 80.8±12.6 mmHg, p=0.005), TC (-5.5%; 6.1±0.7 versus 5.8±1.0 mmol/L, p=0.04) and TG (-27.5%; 2.4±0.8 versus 1.7±0.7 mmol/L, p=0.002). SBP, HDL, LDL and FPG were not significantly different from baseline. Participants with elevated baseline biometrics who reported being compliant to the lifestyle principles promoted in the intervention (N=71, 67% of follow-up participants) recorded further reductions in BMI (-4.2%; 34.8±4.5 versus 33.4±4.8 kg/m<sup>2</sup>, p=0.02), DBP (-13.3%; 88.3±3.2 versus 77.1±12.1 mmHg, p=0.005) and FPG (-10.4%; 7.0±1.5 versus 6.3±1.3 mmol/L, p=0.02).</p> <p>Conclusions: Individuals who returned for follow-up assessment and entered the CHIP lifestyle intervention with elevated risk factors were able to maintain improvements in most biometrics for more than three years. The results suggest that the community-based CHIP lifestyle intervention can be effective in the longer-term, even when delivered by volunteers.</p>
dc.description.versionBefore publication
dc.identifier.citation<p>Kent, L., Morton, D., Hurlow, T., Rankin, P., Hanna, A. & Diehl, H. (2013). Long-term effectiveness of the community-based Complete Health Improvement Program (CHIP) lifestyle intervention: a cohort study. <em>BMJ Open, 3</em>(11), e003751. doi:10.1136/bmjopen-2013-003751</p>
dc.identifier.doihttps://doi.org/10.1136/bmjopen-2013-003751
dc.identifier.issn2044-6055
dc.identifier.urihttps://research.avondale.edu.au/handle/123456789/05333779
dc.language.isoen_us
dc.provenance<p>This article was originally published as:</p> <p>Kent, L., Morton, D., Hurlow, T., Rankin, P., Hanna, A. & Diehl, H. (2013). Long-term effectiveness of the community-based Complete Health Improvement Program (CHIP) lifestyle intervention: a cohort study. <em>BMJ, 3</em>(11), e003751. doi:10.1136/bmjopen-2013-003751</p> <p>ISSN: 1756-1833</p>
dc.rights<p><em></em>Used by permission: the author(s).</p>
dc.rights.licensehttp://creativecommons.org/licenses/by-nc/3.0/
dc.subjectchronic disease
dc.subjectvolunteer
dc.titleLong-Term Effectiveness of the Community-Based Complete Health Improvement Program (CHIP) Lifestyle Intervention: A Cohort Study
dc.typeJournal Article
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